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ADRIENNE MICHELLE SPARKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
550 UNIVERSITY BLVD, INDIANAPOLIS, IN 46202-5149
(317) 278-9729
Mailing address
550 UNIVERSITY BLVD, UH 0279, INDIANAPOLIS, IN 46202-5149
(317) 944-2968
(317) 944-0887

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10001151A
IN
363AM0700X
Medical Physician Assistant
99040314A
IN

Other

Enumeration date
12/07/2009
Last updated
10/29/2020
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